31 例局部复发性直肠癌的再手术治疗

Surgical Treatment of 31 Caes With Locally Recurrent Rectal Cancer

摘要: 目的　总结直肠癌局部复发的手术治疗经验。方法　对 31例局部复发性直肠癌进行了再手术治疗。结果　无症状者和有症状者的手术切除率分别为 80 .0 %和 2 8.6%, 3年生存率分别为 60 .0 %和 2 3.8%, 5年生存率分别为 40 .0 %和 9.5%, 两者间均存在显著差异。另外, 从复发部位来看, 无论是切除率还是生存率, 均以盆腔复发者最低。结论　外科手术是治疗局部复发性直肠癌切实有效的方法 ;而定期复查、早期诊断又是影响切除率和生存率的最重要因素。

Abstract: Objective To sum up the experience in surgical resection of locally recurrent rectal cancer. Methods 31 patients with rectal cancer local recurrence were surgically treated. Results The resection rates,3-year survival rates, and 5-year survival rates,for asymptomatic and symptomatic patients,were 80.0% and 28.6%,60.0% and 23.8%, and 40.0% and 9.5%, respectively.The differences were statistically significant.With regard to the site of recurrence, intrapelvic cavity recurrence had the lowest resection rate an...